Individual
GABRIELLE GANDY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
471 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 795-4770
(318) 795-4775
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1866801AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476815
—
LA
Enumeration date
01/30/2018
Last updated
07/07/2021
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